Assessment of alveolar bone anatomy in maxilla and mandible using cbct

Not yet recruiting

Conditions: Intact first and second molar regions in the maxilla and mandible.

Registration Number: CTRI/2025/05/087044

Lead Sponsor: Dr Kummari Sai Minil Kumar

Brief Summary: Immediate implant placement in the posterior regions of maxilla and mandible , particularly in the first and second molars area, possess unique anatomical and clinical challenges. These regions often exhibit variations in the alveolar bone height, width and morphology due to the factors such as tooth loss sinus proximity and bone resorption making precise preoperative evaluation essential to avoid complications like insufficient primary stability or implant failure. Understanding these parameters is crucial , as immediate implant placement not only reduces treatment time but also helps to preserve alveolar bone.

AIM OF THE STUDY This study aims to evaluate anatomical bone variations in maxillary and mandibular first and second molars in relationship to maxillary sinus and IAN canal using cone beam computed tomography (CBCT).

OBJECTIVES OF THE STUDY

1) To assess alveolar bone dimensions such as socket morphology such as height, width and cortical thickness of maxillary and mandibular molars in CBCT.

2) To evaluate the proximity of the maxillary sinus and inferior alveolar nerve to the root apices and furcations of maxillary and mandibular first and second molars.

3) To evaluate buccal bone and lingual bone thickness, inter radicular bone width.

4) To determine the influence of gender in assessment of roots of maxillary and mandibular first and second molars.

CBCT scans will be analyzed for measuring bone height, bone width, cortical thickness and proximity to anatomical structures like maxillary sinus and inferior alveolar canal. Scans will be anonymized and data will be categorized based on gender and arch type ( Maxilla or Mandible).

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 200

Inclusion Criteria

Patients aged from 18 years to 55 years.
High-quality CBCT scans with no artifacts obscuring the maxillary or mandibular regions.
Intact first and second molar regions in the maxilla and mandible.

Exclusion Criteria

Scans with pathological conditions affecting the alveolar bone (e.g., tumors, cysts).
Patients with systemic conditions that significantly alter bone density (e.g. Osteoporosis, osteomalacia).

Study & Design

Study Type: Observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To assess the alveolar bone dimensions such as socket morphology , height, width & cortical thickness of maxillary & mandibular 1st & 2nd molars in CBCT.	BASE LINE OBSERVATION
To evaluate the proximity of the maxillary sinus and inferior alveolar nerve to the Roots & Furcation of maxillary & mandibular 1st & 2nd molars.	BASE LINE OBSERVATION
To evaluate buccal bone & lingual bone thickness & Interradicular bone width .	BASE LINE OBSERVATION
To determine the influence of gender in assessment of roots of maxillary & mandibular 1st & 2nd molars.	BASE LINE OBSERVATION

Secondary Outcome Measures

Name	Time	Method

Trial Locations

Locations (1): Kamineni institute of dental sciences
🇮🇳
Nalgonda, TELANGANA, India
Kamineni institute of dental sciences
🇮🇳Nalgonda, TELANGANA, India
Dr Sai minil kumar
Principal investigator
08919837653
saiminilomr@gmail.com